Fountainbleau Apartments – 4040 Tulane Avenue, New Orleans Louisiana 70119 USA
Phone: (504) 483-2855 or (504) 483-2861, Fax: (504) 483-2907
APPLICATION FOR APARTMENT
The information requested below provides the basis for our selection of good neighbors for you and all residents.
Name_____________________________________DOB____________________
Social Security#______________________
Name_____________________________________DOB____________________
Social Security#______________________
NAMES OF OTHER OCCUPANTS
Name Relationship Date of Birth
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
RENTAL REFERENCES
Present Address (&Apt. Name)______________________________________________________________________________________________
Present Landlord and Phone #_____________________________________________Rent
Amt.__________________________________________
Length of stay_____________ Reason for leaving_______________________________________________________________________________
NAMES AND ADDRESSES OF PAST LANDLORDS
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Have you ever been evicted?_________ If yes, Explain___________________________________________________________________________
EMPLOYMENT / INCOME
Employer:__________________________________________________Position:______________________________________________________
Address:___________________________________________________Phone#_______________________________________________________
Dates employed:_____________________________________________Monthly Salary:________________________________________________
Will your income be increased through assistance from relatives, friends or
other? ________ Please explain: ________________________________
________________________________________________________________________________________________________________________
SPOUSE / ROOMATE EMPLOYER
Employer:__________________________________________________Position:______________________________________________________
Address:___________________________________________________Phone#:_______________________________________________________
Dates employed:____________________________________________Monthly Salary:_________________________________________________
Do you own a waterbed?________________ Do you own a pet?____________ If yes,
type/weight____________________
CREDIT REFERENCES
Bank______________________________
Address __________________________________Acct#_____________________
Retail_____________________________
Address __________________________________Acct#_____________________
Retail_____________________________
Address __________________________________Acct#_____________________
CHARACTER REFERENCES
Name Phone Number Work Number
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
LIST ALL VEHICLES
TO BE PARKED ON PREMISES (CARS, MOTORCYCLES, BOATS, ETC.)
Make_________________________________________Year___________ Color__________Lic.#_______________________
Make_________________________________________Year___________ Color__________Lic.#_______________________
Make_________________________________________Year___________ Color__________Lic.#_______________________
Drivers license#________________________________ State__________
Have you or any
other occupant ever: 1) been convicted of a felony?_______ 2) Convicted of any
violent or sex related crime? _______
3) Evicted or asked to move? ________ 4) Sued for unpaid rent? _________ 5)
Broken a rental agreement? _______
If yes, explain____________________________________________________________________________________________________________
Have you ever
been convicted of the illegal use, manufacture, or distribution of a controlled
substance?_____________
If yes, explain____________________________________________________________________________________________________________
In case of emergency
notify: ________________________________ Address_______________________________________
Relationship____________________________ Phone #________________________________
Applicant represents that all of the above statements are true and correct, and hereby authorizes verification of above information, references, credit and criminal checks through Fountainbleu Management Company. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and, or forfeiture of deposits if occupancy has taken place. If accepted, this application shall become part of the Lease Agreement.
_________________________________________________
_________________
Applicant's Signature Date
_________________________________________________
_________________
Co-applicant's Signature Date
Application Accepted by:____________________________________ Date:____________________ Time:_____________
Apt. Size:______________________ Rent Amt.____________________ Deposit Amt._______________
Approved___________________________________ Rejected___________________________
Date__________________
Fountainbleau Apartments – 4040 Tulane Avenue, New Orleans Louisiana 70119 USA
Phone: (504) 483-2855 or (504) 483-2861, Fax: (504) 483-2907